关键词: Gustilo Ⅲ型骨折, 外固定支架, VSD 负压引流术

Abstract: ［Abstract］ Objective To analyze and evaluate the effect of external fixation combined with vacuum sealing drainage in the treatment of Gustilo type Ⅲ fracture of lower limb. Methods Eighty cases of pa? tients with Gustilo type Ⅲ fracture of lower limb in our hospital were selected as the research objects. All the patients were randomly divided into group A and B，with 40 cases in each group. Patients in the group A received external external fixation combined with vacuum sealing drainage ，while patients in the group B received external fixation. The clinical effects of the two groups were compared. Results The operation time，hospital stay，fracture healing time and would healing time were shorter than those of the group B（P<0.05）. The excellent rate of fracture healing of the group A was 87.50% ，which was higher than 62.50% of group B（P<0.05）. The incidence rate of complications of group A was 12.5% ，which was lower than 45% of group B（P<0.05）. Conclusion External fixation combined with vacuum sealing drainage is effective in the treatment of Gustilo type Ⅲ fracture of lower limb. It can not only shorten the hospitalization time and accelerate the fracture healing，but also has less complication. It is worthy of wide promotion.

Key words: cacuum sealing drainage, external fixation, Gustilo type Ⅲ fracture